Patients undergo initial treatment at the rehabilitation program for heroin addiction operated by the NGO City Without Drugs in Yekaterinburg, Russia, on Monday, September 24, 2007. Up to 50 people at a time are crammed into a room, handcuffed to their beds, and fed a diet of only bread and water for an initial period of 27 days to ensure they take the treatment seriously and aren't tempted to quit and try again another time. This is followed by a year of community service. The program, which claims an 80% success rate for those who complete the entire course, costs 6000 rubles per month for food and housing, though the rehabilitation itself is free.